4th & 5th Grade Reading Log
Please submit one form per child. Be sure to select correct week of reading. Forms that are submitted on Fridays will be put in a drawing for the title Reader of the Week. If selected, parents will be contacted and a Reader of the Week sign will be displayed from Saturday until Friday. The sign will then be picked up to be placed in the next Reader of the Week's yard! After submitting your first log, pick up your Imagine 2020 book bag from the library!
Child’s Name (Last, First) *
Parent’s Name (Last, First) *
Parent Contact Number *
How many books read? *
Week of reading *
RELEASE FOR USE OF IMAGE OF MINOR CHILDREN UNDER 18 - I give my permission to Groves Public Library to use images of my child or children in news releases and/or promotional materials for the library of it programs. I further agree that the library may use the name(s) of my child or children in descriptive text or commentary in connection with the images without compensation to me. All negatives, prints and digital reproductions will be property of the library. *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy